Compliance Technical Analyst II

Overview

What you can expect! 

 

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

 

The Compliance Technical Analyst II is responsible for managing and supporting the development, implementation, and maintenance of compliance systems, initiatives, projects, and other key systems and data driven activities within the Compliance department and the organization. The Compliance Technical Analyst II works cross-functionally with departments to deliver strategically designed applications and actionable analyses / results. The position provides technical, analytical, and reporting assistance to programs, systems, and special projects. Individuals in this classification demonstrate independence performing a variety of responsibilities for managing system configurations, project management, technical support, reporting, and end user management to promote and ensure compliance with governmental, regulatory, or organizational mandates.

 

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits

Perks

 

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

• Competitive salary.
• Hybrid schedule.
• CalPERS retirement.
• State of the art fitness center on-site.
• Medical Insurance with Dental and Vision.
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development.
• Wellness programs that promote a healthy work-life balance.
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Key Responsibilities

Evaluate, design, and maintain systems and applications by working collaboratively with the Compliance Technical Analyst III and staff to align functionality with compliance and regulatory needs.

Maintain applications and databases to support programs, processes, daily work, reporting, and analysis needs. Including testing, validating, and maintaining data integrity and accuracy.

Research and analyze programs, applications, and processes to recommend customizations, efficient procedures, and actions plans. Demonstrate a commitment to incorporate LEAN principles into daily work.

Define business requirements, project and system goals, objectives, technical requirements, and resolve systems issues.

Monitor and report on the performance of Compliance teams and initiatives by maintaining programs, dashboards, and completing advanced reporting.

Maintain a comprehensive understanding of compliance applications features and capabilities to provide technical and analytical support to IEHP departments.

Develop system training programs for end users and facilitate hands-on training.  

Present findings of analyses to various staff levels in formats that are easy to understand and appropriate to the audience.

Support testing, debug, and troubleshoot new and existing applications to resolve issues and/or implement enhancements.

Evaluate report requests to determine requestor’s needs and objectives, identifying correct methodology for extracting data including data sources and criteria, and ensuring the delivered report is accurate, timely, and formatted appropriately.

Document and ensure assigned project / technical staff document all analysis / reporting projects following established protocols.

Establish and maintain effective working relationships with others throughout the organization.

Any other duties as required ensuring Health Plan operations are successful.

Qualifications

Education & Requirements 

• Minimum of four (4) years of experience developing and implementing systems and applications
• Experience in managing complex projects and programs utilizing systems, data, workplans, project management tools, developing and managing report and monitoring requirements, comfortable with external and leadership facing presentations, and analytical capabilities
• Experience with Managed Care Compliance Programs required
• Experience with systems configuration and implementation of Governance, Risk, and Compliance (GRC) software preferred
• Bachelor’s degree in related field from an accredited institution required